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Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery
J Salzmann1, P T Khaw, A Laidlaw
1Vitreoretinal Service, Moorfields Eye Hospital, London, United Kingdom. jsalzmann@beeb.net
Purpose:
To report the clinical features and management of two patients with pseudophakic anterior capsule contraction with secondary tractional ciliary body detachments and hypotonous choroidal effusions.
Methods:
Case reports.
Results:
In two eyes of two patients with pseudophakia, severe anterior lens capsule contraction and tractional ciliary body detachments, anterior capsulotomy (one Nd:YAG laser, one surgical), was followed by resolution of the ocular hypotony and resolution/nonrecurrence of the choroidal effusions. In both cases, continuous curvilinear capsulorhexis was used during cataract surgery.
Conclusion:
Anterior capsule contraction following pseudophakia may result in tractional ciliary detachment and secondary ocular hypotony. Radial anterior capsulotomy appeared to be effective in both cases.